| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $699.00 | $699.00 | $1,083.76 |
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $699.00 | $699.00 | $1,083.76 |